Table 1 Advantages and disadvantages of various surgical approaches to inflatable penile prosthesis surgery
Surgical approaches | Advantages | Disadvantages |
|---|---|---|
Penoscrotal or trans-scrotal | No risk of dorsal nerve injury Better corporal exposure Ability to anchor the pump directly in the scrotum | Blind insertion of the retropubic reservoir |
Infra-pubic | Direct visualization during reservoir insertion Less scrotal bruising for earlier pump cycling | More difficult pump placement Limited corporal exposure Higher risk of damage to sensory nerves of the penis, particularly with revision cases |
Sub-coronal | Excellent corporal exposure for concurrent corporal reconstructive surgery Direct visualization during reservoir insertion | More difficult pump placement Visible tubing of the device postoperatively |
